Organization
SOUTHWEST AUTISM RESEARCH AND RESOURCE CENTER
Active
Parent organization
SOUTHWEST AUTISM RESEARCH AND RESOURCE CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWEST AUTISM RESEARCH AND RESOURCE CENTER
Authorized official
MR. BRIAN SHAW (DIRECTOR OF FINANCE)
(602) 218-8211
Entity
Organization
Contact information
Practice address
2225 N 16TH ST, PHOENIX, AZ 85006-1823
(602) 340-8717
(602) 340-8720
Mailing address
2225 N 16TH ST, PHOENIX, AZ 85006-1823
(602) 340-8717
(602) 340-8720
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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